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Massive rectal bleeding from colonic fistula in pancreatitis
Archives of Surgery (Chicago, Ill. : 1960)
|June 1, 1984
Summary
Massive rectal bleeding from pancreatitis-associated colonic fistulae is rare but serious. Prompt diagnosis via arteriography and surgical intervention are crucial for patient recovery.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Pancreatitis can lead to rare but severe complications.
- Colonic fistulae are an uncommon sequela of pancreatitis.
Observation:
- Two cases of massive hematochezia were reported.
- Patients presented with rectal bleeding and a history of pancreatitis.
Findings:
- Diagnosis was confirmed using arteriography.
- Surgical intervention included vessel ligation, debridement, drainage, and colostomy.
- Resection of involved organs improved outcomes.
Implications:
- Pancreatitis-associated colonic fistulae should be considered in patients with rectal bleeding.
- Visceral arteriography is the preferred diagnostic and planning tool.
- Aggressive surgical management is essential for successful treatment.